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. 1997;24(3):226–229.

Anomalous origin of the right coronary artery from the pulmonary artery in association with a ventricular septal defect.

M A Maluf 1, M Smith 1, D M Abellan 1, E J Troster 1, F Takaoka 1, M Rati 1, G Faiwichow 1
PMCID: PMC325450  PMID: 9339515

Abstract

Origin of the right coronary artery from the pulmonary artery is a rare lesion occasionally found at angiography or autopsy. We report the rare preoperative diagnosis, in a child, of anomalous origin of the right coronary artery from the pulmonary artery, in association with a ventricular septal defect. The chest radiograph was normal, but auscultation revealed a continuous murmur at the left sternal border and electrocardiography showed right and left ventricular hypertrophy. A transthoracic echocardiogram depicted anomalous origin of the right coronary artery from the pulmonary artery. Color-flow Doppler echocardiography indicated possible right-coronary-artery-to-right-ventricle fistulae. Diagnosis was made by selective left coronary arteriography, which showed retrograde filling of the right coronary artery from collateral vessels. Selective left coronary arteriography depicted intercoronary flow, with no fistulae. Operative repair consisted of moving the proximal right coronary artery from its origin at the pulmonary trunk to the aorta. An associated procedure for correction of the ventricular septal defect was performed. The postoperative cardiac angiogram showed that the ventricular septal defect was closed and that flow through the right coronary artery was normal. Preoperative diagnosis of anomalous origin of the right coronary artery from the pulmonary artery is important, because this condition is surgically correctable.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BURROUGHS J. T., SCHMUTZER K. J., LINDER F., NEUHAUS G. Anomalous origin of the right coronary artery with a orticopulmonary window and ventricular septal defect. Report of a case with complete operative correction. J Cardiovasc Surg (Torino) 1962 Apr;3:142–147. [PubMed] [Google Scholar]
  2. Bregman D., Brennan F. J., Singer A., Vinci J., Parodi E. N., Cassarella W. J., Edie R. N. Anomalous origin of the right coronary artery from the pulmonary artery. J Thorac Cardiovasc Surg. 1976 Oct;72(4):626–630. [PubMed] [Google Scholar]
  3. Brouwer M. H., Beaufort-Krol G. C., Talsma M. D. Aortopulmonary window associated with an anomalous origin of the right coronary artery. Int J Cardiol. 1990 Sep;28(3):384–386. doi: 10.1016/0167-5273(90)90327-2. [DOI] [PubMed] [Google Scholar]
  4. CRONK E. S., SINCLAIR J. G., RIGDON R. H. An anomalous coronary artery arising from the pulmonary artery. Am Heart J. 1951 Dec;42(6):906–911. doi: 10.1016/0002-8703(51)90064-6. [DOI] [PubMed] [Google Scholar]
  5. Eugster G. S., Oliva P. B. Anomalous origin of the right coronary artery from the pulmonary artery. Chest. 1973 Feb;63(2):294–296. doi: 10.1378/chest.63.2.294. [DOI] [PubMed] [Google Scholar]
  6. Gerlis L. M., Ho S. Y., Milo S. Three anomalies of the coronary arteries co-existing in a case of pulmonary atresia with intact ventricular septum. Int J Cardiol. 1990 Oct;29(1):93–95. doi: 10.1016/0167-5273(90)90280-i. [DOI] [PubMed] [Google Scholar]
  7. JORDAN R. A., DRY T. J., EDWARDS J. E. Cardiac clinics, CXXXVI. Anomalous origin of the right coronary artery from the pulmonary trunk. Proc Staff Meet Mayo Clin. 1950 Dec 6;25(25):673–678. [PubMed] [Google Scholar]
  8. Ladowski J. S., Belvedere D. A., Wuest L. F. Anomalous origin of the right coronary artery from the pulmonary artery: an unusual cause of angina. Cardiovasc Surg. 1995 Feb;3(1):81–83. doi: 10.1016/0967-2109(95)92911-z. [DOI] [PubMed] [Google Scholar]
  9. Lerberg D. B., Ogden J. A., Zuberbuhler J. R., Bahnson H. T. Anomalous origin of the right coronary artery from the pulmonary artery. Ann Thorac Surg. 1979 Jan;27(1):87–94. doi: 10.1016/s0003-4975(10)62981-5. [DOI] [PubMed] [Google Scholar]
  10. Luisi S. V., Ashraf M. H., Gula G., Radley-Smith R., Yacoub M. Anomalous origin of the right coronary artery with aortopulmonary window: functional and surgical considerations. Thorax. 1980 Jun;35(6):446–448. doi: 10.1136/thx.35.6.446. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Neches W. H., Mathews R. A., Park S. C., Lenox C. C., Zuberbuhler J. R., Siewers R. D., Bahnson H. T. Anomalous origin of the left coronary artery from the pulmonary artery. A new method of surgical repair. Circulation. 1974 Sep;50(3):582–587. doi: 10.1161/01.cir.50.3.582. [DOI] [PubMed] [Google Scholar]
  12. ROWE G. G., YOUNG W. P. Anomalous origin of the coronary arteries with special reference to surgical treatment. J Thorac Cardiovasc Surg. 1960 Jun;39:777–780. [PubMed] [Google Scholar]
  13. Ranniger K., Thilenius O. G., Cassels D. E. Angiographic diagnosis of an anomalous right coronary artery arising from the pulmonary artery. Radiology. 1967 Jan;88(1):29–31. doi: 10.1148/88.1.29. [DOI] [PubMed] [Google Scholar]
  14. Sundar A. S., Fox K. A. Anomalous origin of the right coronary artery from the pulmonary artery in association with congenital aneurysm of the sinus of Valsalva: angiographic diagnosis of a rare association. Br Heart J. 1992 Sep;68(3):330–332. doi: 10.1136/hrt.68.9.330. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Tingelstad J. B., Lower R. R., Eldredge W. J. Anomalous origin of the right coronary artery from the main pulmonary artery. Am J Cardiol. 1972 Nov 8;30(6):670–673. doi: 10.1016/0002-9149(72)90608-x. [DOI] [PubMed] [Google Scholar]
  16. Wald S., Stonecipher K., Baldwin B. J., Nutter D. O. Anomalous origin of the right coronary artery from the pulmonary artery. Am J Cardiol. 1971 Jun;27(6):677–681. doi: 10.1016/0002-9149(71)90235-9. [DOI] [PubMed] [Google Scholar]
  17. Wesselhoeft H., Fawcett J. S., Johnson A. L. Anomalous origin of the left coronary artery from the pulmonary trunk. Its clinical spectrum, pathology, and pathophysiology, based on a review of 140 cases with seven further cases. Circulation. 1968 Aug;38(2):403–425. doi: 10.1161/01.cir.38.2.403. [DOI] [PubMed] [Google Scholar]

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